Abstract
Brucellosis, a common zoonotic disease, is still endemic in Turkey. The most common transmission is through consumption of milk and dairy products. Distinctively, in laboratory workers, both direct inhalation and contact with contaminated laboratory material may cause infections. In this case report, a 42 years male laboratory staff who had fatigue, night sweats, and arthralgia especially at knees and hip joints for 10 days, was evaluated. He did not have any history of dairy product consumption. But we learnt that he had sniffed a culture plaque with Brucella spp while working on the sample. We detected Brucella melitensis in his blood culture. We present this case to remind readers of the high transmission risk of brucellosis. Key words: Brucellosis; Laboratory Acquiring; Smelling.
References
- Doganay M, Aygen B. Human brucellosis: an overview. Int J Infect Dis 2003;7:173-82.
- Young EJ. Brucella species. Mandell GL, Bennet JE, Dolin R, editors. Mandell, Dougles and Bennet’s Principles and Practice of Infectious Diseases. 5th ed. Philadelphia: Churchill Livingstone; 2005. 2669-74.
- Bouza E, Sanchez Carrillo C, Hernangomez S, Jose Gonzalez M, the Spanish Cooperative Group for the Study of Laboratory-acquired Brucellosis. Laboratory-acquired brucellosis: a Spanish national survey. J Hosp Infect 2005;61:80-3.
- Robichaud S, Libman M, Behr M, Rubin E. Prevention of laboratory- acquired brucellosis. Clin Infect Dis 2004;38:119- 22.
- Sayın Kutlu S, Kutlu M, Ergonul O, Akalın S, Güven T, Demiroğlu Y.Z et al. Laboratory-acquired brucellosis in Turkey. Journal of Hospital Infection 2012;80:326-30.
- Shemesh AA, Yaqupsky P. Isolation rates of Brucella melitensis in an endemic area and implications for laboratory safety. Eur J Clin Microbiol Infect Dis 2012;31:441-3.
- Ergonul O, Celikbas A, Tezeren D, Guvener E, Dokuzoguz B. Analysis of risk factors for laboratory-acquired brucella infections. J Hosp Infect 2004;56:223-7.
- Sewell DL. Laboratory-acquired infections: are microbiologists at risk? Clin Microbiol Newsletter 2006;28:1- 6.
- Noviella S, Gallo R, Molly K, Limberger RJ, De Angelis K, Cain L et al. Laboratory-acquired Brucellosis. Emerging Infectious Diseases 2004;10:1848-50.
Abstract
Dünyada yaygın olarak görülen zoonozlardan biri olan bruselloz ülkemizde halen endemiktir. En sık geçiş enfekte süt ve süt ürünlerinin tüketilmesi ile olmaktadır. Farklı olarak laboratuvar çalışanlarında hem direk inhalasyon hemde hasarlı derinin enfekte materyallere teması sonucu bulaş olabilmektedir. Mikrobiyoloji teknisyeni olan 42 yaşındaki erkek olgumuzda, yaklaşık 10 gündür başlayan, özellikle diz ve kalça ekleminde belirgin eklem ağrısı, halsizlik ve gece terlemesi mevcuttu. Pastörize edilmemiş süt ve süt ürünü tüketim öyküsü bulunmayan hastanın sonrasında Brucella spp. üremesi saptanmış bir kültür plağına dokunma ve koklama öyküsü mevcuttu. Hastanın alınan kan kültüründe de Brucella melitensis üremesi saptandı. Brusellozda yüksek laboratuvar geçiş riskini hatırlatmak amacı ile bu olguyu sunmaktayız. Anahtar kelimeler: Bruselloz; Laboratuvar geçişi; Koklama.
References
- Doganay M, Aygen B. Human brucellosis: an overview. Int J Infect Dis 2003;7:173-82.
- Young EJ. Brucella species. Mandell GL, Bennet JE, Dolin R, editors. Mandell, Dougles and Bennet’s Principles and Practice of Infectious Diseases. 5th ed. Philadelphia: Churchill Livingstone; 2005. 2669-74.
- Bouza E, Sanchez Carrillo C, Hernangomez S, Jose Gonzalez M, the Spanish Cooperative Group for the Study of Laboratory-acquired Brucellosis. Laboratory-acquired brucellosis: a Spanish national survey. J Hosp Infect 2005;61:80-3.
- Robichaud S, Libman M, Behr M, Rubin E. Prevention of laboratory- acquired brucellosis. Clin Infect Dis 2004;38:119- 22.
- Sayın Kutlu S, Kutlu M, Ergonul O, Akalın S, Güven T, Demiroğlu Y.Z et al. Laboratory-acquired brucellosis in Turkey. Journal of Hospital Infection 2012;80:326-30.
- Shemesh AA, Yaqupsky P. Isolation rates of Brucella melitensis in an endemic area and implications for laboratory safety. Eur J Clin Microbiol Infect Dis 2012;31:441-3.
- Ergonul O, Celikbas A, Tezeren D, Guvener E, Dokuzoguz B. Analysis of risk factors for laboratory-acquired brucella infections. J Hosp Infect 2004;56:223-7.
- Sewell DL. Laboratory-acquired infections: are microbiologists at risk? Clin Microbiol Newsletter 2006;28:1- 6.
- Noviella S, Gallo R, Molly K, Limberger RJ, De Angelis K, Cain L et al. Laboratory-acquired Brucellosis. Emerging Infectious Diseases 2004;10:1848-50.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | June 1, 2014 |
| Published in Issue | Year 2014 Volume: 21 Issue: 3 |